- Intra-arterial angiography is the traditional method of assessing degree of stenosis
- 4% risk of inducing further neurological event
- 1% risk of permanent stroke
Some surgeons will operate on the basis of non-invasive assessments
Two large trials have been published
This surgery can be performed under general / local anesthesia. If done under general anesthesia a shunt is used to perfuse the brain. Under local anesthesia, as the patient is awake the use of shunt is limited. The plaque from the carotid artery is removed and a patch is sutured to the edges.
Dr. Pankaj Patel a vascular surgeon has expertise in peripheral vascular diseases, varicose veins and deep vein thrombosis